A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.) A.An assistive personnel is informing a friend of the client about their condition. B.A nurse and a provider are discussing a client’s condition at the nurses’ […]
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A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? A.Position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate. B.Measure the fundal height to determine the placement of the ultrasound stethoscope. C.Place
A nurse is teaching a class about skeletal muscles.Which of the following should the nurse identify as a function of skeletal muscles? A.Skeletal muscles enable the heart to contract with each heartbeat B.Skeletal muscles enable the bladder to contract during voiding C.Skeletal muscles enable the bronchioles to dilate in the lungs D.Skeletal muscles enable a
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A prn order must indicate the minimum time between doses such as q4h A.True B.False The Correct Answer and Explanation is: A. True A “prn” (pro re nata) order in medical and nursing practice refers to a medication or intervention that is administered as needed rather than at scheduled intervals. However, even though the timing
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Anaphylactic shock is a subgroup of which type of shock?A.Hypovolemic B.Obstructive C.Cardiogenic D.Distributive The Correct Answer and Explanation is: The correct answer is D. Distributive. Explanation: Anaphylactic shock is classified under distributive shock. Distributive shock is characterized by widespread vasodilation, leading to a decrease in systemic vascular resistance (SVR) and an inadequate distribution of blood
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A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching? A.“I will perform ankle and knee exercises every hour.” B.“I will have my partner help me change positions every 4 hours.” C.“I will remove my antiembolic
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment finding indicates possible compartment syndrome? A.Pain responding well to prescribed dose of Morphine. B.ltching unrelieved by Diphenhydramine (Benadryl administration. C.Lower extremities temperature cool bilaterally. D.Tingling in the toes of fractured extremity and decreased sensation. The Correct
The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action regarding skin care indicates a need for further teaching?A.Applies prescribed lotions to the radiation site. B.Washes the radiation site with antibacterial soap and water. C.Wears clothing to cover the radiation site. D.Dries the
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? A.Suggest rinsing his mouth with an alcohol-based mouth wash. B.Instruct the client on the use of esophageal speech. C.Offer the client saltine crackers between meals. D.Provide humidification of
(Select all that apply):. A nurse is caring for a client with an eating disorder. What responsibilities should the nurse collaborate on with the multidisciplinary team? (Choose three.) A Providing physical care only.B Sharing information and coordinating care.C Making referrals exclusively to physicians.D Administering medications without consulting others.E Participating in team meetings. The Correct Answer
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